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Van Buren County DID
Complete the below form to request a mailing address change for your owned or authorized property. Acceptance or rejection will be sent via the email provided in this form.
Requestor Information
Name
*
First Name
Last Name
Email
*
All updates, including rejections, will be sent to this email. Ensure it is a monitored email inbox. example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you the Owner?
*
Please Select
Yes
No
Relationship to Owner
*
Please Select
Authorized Agent
Tenant with Permission
Board of Directors/Condo Association
Trustee
Power of Attorney
Executor/Administrator
Land Contract holder
Other taxpayer
Other (Please Explain)
Explain Relationship to Owner
*
Property Information
Enter a maxium of 10, if more than 10 please submit another address change request form.
Parcel Number 1
*
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 2
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 3
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 4
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 5
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 6
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 7
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 8
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 9
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Parcel Number 10
Format MUST be exactly as it is shown in the tax bill. Ex. 80-00-000-000-00
Do you need help finding your parcel number(s)
Yes
No
Please upload proof of ownership showing you name and parcel number(s)
*
Browse Files
Drag and drop files here
Choose a file
Tax bills/deeds/etc
Cancel
of
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New Mailing Address Owner
Owner Street Address
*
Owner City
*
Owner State
*
Owner Zip Code
*
New Mailing Address Taxpayer
Taxpayer Street Address
*
Taxpayer City
*
Taxpayer State
*
Taxpayer Zip Code
*
Care of
Would you like to specify a "Care Of" name to be added to documents that are mailed by the county?
*
Please Select
Yes
No
Care of Name
*
Last, First
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Authorization
Authorization - To be completed by the person who filled out this form.
I, the person identified in the "Form Submitter Name" section below, attest that all information provided in this form is true, accurate, and complete to the best of my knowledge. I understand that by submitting this form, and entering my name in the "Form Submitter Name" section below, I am authorized to request the above changes.
Form Submitter Name
*
First Name
Last Name
Status
Please Select
Denied
Approved
In Progress
Submit
Should be Empty: